Social transition and risk for disordered eating

描述（由申请人提供）：这是一份申请以指导病人为导向的研究职业发展奖的申请，重点是通过结合流行病学、人类学和精神病学的观点，在饮食失调的社会文化风险因素调查方面发展专业知识。候选人：候选人已经是一名医学人类学家和精神病学家，在饮食失调方面具有临床专业知识，现在寻求额外的培训（主要侧重于流行病学），通过整合定性和定量方法使她的研究更具临床相关性。职业发展计划包括以下方面的培训：(1)精神病学流行病学；(2)先进的定性方法；(3)与波多黎各人进行研究的技能；(4)负责任的研究行为。正式的课程，最终获得哈佛大学公共卫生学院精神病流行病学项目的科学硕士学位，以及在定性和定量方法方面具有专业知识的顾问的监督，将为候选人未来在该领域的独立调查奠定基础。环境：拟议的研究将在马萨诸塞州总医院进行，由发起人Jane Murphy博士和共同发起人Ruth StriegeI-Moore博士监督，并征求其他专家的意见。研究计划：基于人口数据的研究表明，在极端不同的文化群体中，几种形式的社会转型与年轻女性饮食失调患病率的增加有关。这项研究将建立在候选人之前的研究基础上，该研究表明，在斐济快速现代化的背景下，斐济族裔女孩中饮食失调的行为和态度有所增加。定性和定量方法和数据将在两个不同的研究人群中反复使用，即斐济的15-24岁女性斐济族裔和波士顿的波多黎各大陆人。研究I将通过横断面调查来检验候选人之前在斐济进行的定性研究得出的假设，以检查斐济人的主要预测因素（与社会转型的维度有关）和结果（与饮食失调有关）之间的关联。研究二将通过对访谈和焦点小组数据的分析，探索该模型对波多黎各大陆研究人群的适用性，开发一个关于社会转型如何导致不同人群饮食失调风险的一般模型。

DESCRIPTION (provided by applicant): This is an application for a Mentored Patient-Oriented Research Career Development Award with a focus on developing expertise in the investigation of sociocultural risk factors for eating disorders by combining perspectives from epidemiology, anthropology, and psychiatry. Candidate: The Candidate, already an established medical anthropologist and psychiatrist with clinical expertise in eating disorders, now seeks additional training (with a primary focus in epidemiology) to make her research more clinically relevant by integrating qualitative and quantitative approaches. Career development plans include training in (1) psychiatric epidemiology; (2) advanced qualitative methods; (3) skills for research with Puerto Ricans; and (4) the responsible conduct of research. Formal coursework, culminating in a master's of science degree in the psychiatric epidemiology program at the Harvard School of Public Health, and supervision with consultants with expertise in both qualitative and quantitative methods will lay the foundation for future independent investigation by the Candidate in this area. Environment: The proposed study will be based at the Massachusetts General Hospital under the supervision of Sponsor, Dr. Jane Murphy, and Co-Sponsor, Dr. Ruth StriegeI-Moore, with consultation from additional experts. Research Plan: Population data based studies suggest that several forms of social transition are associated with increased prevalence of disordered eating in young women across extremely diverse cultural groups. This study will build on the Candidate's previous research demonstrating an increase in disordered eating behaviors and attitudes among ethnic Fijian girls in the setting of rapid modernization in Fiji. Qualitative and quantitative methods and data will be used iteratively in separate studies in two distinct study populations of 15-24 year old females ethnic Fijians in Fiji and mainland Puerto Ricans in Boston. Study I will test hypotheses derived from the Candidate's previous qualitative research in Fiji with a cross-sectional survey to examine associations between primary predictors (relating to dimensions of social transition) and outcomes (relating to disordered eating) in Fijians. Study II will develop a general model for how social transition may contribute to risk for disordered eating across diverse populations by analysis of interview and focus group data exploring applicability of this model to a mainland Puerto Rican study population.